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Hepatopancreatoduodenectomy for local recurrence of cholangiocarcinoma after excision of a type IV-A congenital choledochal cyst: a case report.

Yamada M, Ebata T, Sugawara G, Igami T, Mizuno T, Shingu Y, Nagino M - Surg Case Rep (2016)

Bottom Line: There are limited data regarding the effectiveness of surgical resection for recurrent BTC.The patient, a 25-year-old woman, had undergone excision of a type IV-A congenital choledochal cyst with hepaticojejunostomy.The resected specimen revealed an early cholangiocarcinoma.

View Article: PubMed Central - PubMed

Affiliation: Division of Surgical Oncology, Department of Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan. m-yamada33@med.nagoya-u.ac.jp.

ABSTRACT
Surgical resection is the only curative treatment for biliary tract cancer (BTC); however, the recurrence rate remains high even after curative resection. There are limited data regarding the effectiveness of surgical resection for recurrent BTC. We report the favorable survival outcome of a patient who underwent a hepatopancreatoduodenectomy for local recurrence of cholangiocarcinoma after excision of a type IV-A congenital choledochal cyst. The patient, a 25-year-old woman, had undergone excision of a type IV-A congenital choledochal cyst with hepaticojejunostomy. The resected specimen revealed an early cholangiocarcinoma. The local recurrence at the site of anastomosis was detected 4 years and 4 months after surgery. We performed a left trisectionectomy with caudate lobectomy combined with hepatic artery and portal vein resections and a pancreaticoduodenectomy. Histological examination revealed a moderately differentiated adenocarcinoma, and the final diagnosis was recurrence of cholangiocarcinoma. There are a few reports of extensive resection for recurrence of BTC; however, aggressive surgery is possible and may offer favorable survival in selected patients.

No MeSH data available.


Related in: MedlinePlus

Angiography. The right posterior hepatic artery is disrupted at the hepatic hilum (a red arrow), and there is a collateral artery (a yellow arrow) from the right anterior hepatic artery to the right posterior hepatic artery. CHA common hepatic artery, GDA gastroduodenal artery, LHA left hepatic artery, RAHA right posterior hepatic artery, RPHA right posterior hepatic artery
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Fig3: Angiography. The right posterior hepatic artery is disrupted at the hepatic hilum (a red arrow), and there is a collateral artery (a yellow arrow) from the right anterior hepatic artery to the right posterior hepatic artery. CHA common hepatic artery, GDA gastroduodenal artery, LHA left hepatic artery, RAHA right posterior hepatic artery, RPHA right posterior hepatic artery

Mentions: Angiography revealed that the right posterior hepatic artery was invaded and disrupted at the hepatic hilum. Furthermore, a collateral artery from the right anterior hepatic artery to the right posterior hepatic artery was observed (Fig. 3).Fig. 3


Hepatopancreatoduodenectomy for local recurrence of cholangiocarcinoma after excision of a type IV-A congenital choledochal cyst: a case report.

Yamada M, Ebata T, Sugawara G, Igami T, Mizuno T, Shingu Y, Nagino M - Surg Case Rep (2016)

Angiography. The right posterior hepatic artery is disrupted at the hepatic hilum (a red arrow), and there is a collateral artery (a yellow arrow) from the right anterior hepatic artery to the right posterior hepatic artery. CHA common hepatic artery, GDA gastroduodenal artery, LHA left hepatic artery, RAHA right posterior hepatic artery, RPHA right posterior hepatic artery
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4764596&req=5

Fig3: Angiography. The right posterior hepatic artery is disrupted at the hepatic hilum (a red arrow), and there is a collateral artery (a yellow arrow) from the right anterior hepatic artery to the right posterior hepatic artery. CHA common hepatic artery, GDA gastroduodenal artery, LHA left hepatic artery, RAHA right posterior hepatic artery, RPHA right posterior hepatic artery
Mentions: Angiography revealed that the right posterior hepatic artery was invaded and disrupted at the hepatic hilum. Furthermore, a collateral artery from the right anterior hepatic artery to the right posterior hepatic artery was observed (Fig. 3).Fig. 3

Bottom Line: There are limited data regarding the effectiveness of surgical resection for recurrent BTC.The patient, a 25-year-old woman, had undergone excision of a type IV-A congenital choledochal cyst with hepaticojejunostomy.The resected specimen revealed an early cholangiocarcinoma.

View Article: PubMed Central - PubMed

Affiliation: Division of Surgical Oncology, Department of Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan. m-yamada33@med.nagoya-u.ac.jp.

ABSTRACT
Surgical resection is the only curative treatment for biliary tract cancer (BTC); however, the recurrence rate remains high even after curative resection. There are limited data regarding the effectiveness of surgical resection for recurrent BTC. We report the favorable survival outcome of a patient who underwent a hepatopancreatoduodenectomy for local recurrence of cholangiocarcinoma after excision of a type IV-A congenital choledochal cyst. The patient, a 25-year-old woman, had undergone excision of a type IV-A congenital choledochal cyst with hepaticojejunostomy. The resected specimen revealed an early cholangiocarcinoma. The local recurrence at the site of anastomosis was detected 4 years and 4 months after surgery. We performed a left trisectionectomy with caudate lobectomy combined with hepatic artery and portal vein resections and a pancreaticoduodenectomy. Histological examination revealed a moderately differentiated adenocarcinoma, and the final diagnosis was recurrence of cholangiocarcinoma. There are a few reports of extensive resection for recurrence of BTC; however, aggressive surgery is possible and may offer favorable survival in selected patients.

No MeSH data available.


Related in: MedlinePlus